NCG100057_Renewal COC Request_20190129 1:25:30 PM

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Permit COC
NCG100057
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NOG030000) M-ST BEGIN WTTH CAPITAL "NCG'
Name of Person
Jeff Odum
Obtaining COC*
First and LastNarra
Phone Number* 910-326-1424
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email [e-mail]
(Optional) Enter an additional email address to whom to send the COC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
Master General NCG100000
Permit No.
COC No.
NCG100057
Permittee
Odums Garage & Auto Salvage
Facility Name
Odums Garage & Auto Salvage - Hubert
Address
491 Queens Creek Rd
City
Hubert
County
Onslow
Waterbody
Queen Creek
Classification
SA;HQW
River Basin
White Oak
RENEWAL STATUS
Active
Issuance Date *
10/29/2018
Effective Date
11/01/2018
1 hereby request a copy of the Certificate of Coverage (COC) entered above. I understand that the COC e-mailed as a
result of this request will serve as the Permittee's record of renewed coverage under the General Permit, and that this
record must be maintained with the Permittee's NPDES Stormwater Permit records.
Signature *

Date * 01 /29/2019